Active NPI
Melinda Wells Valliant, PHD, RDN, CSSD, LDN
- Registered Dietitian
- Oxford, MS
National Provider Identifier
1356919138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D0537
- Practice address
- 108 Sorority Row
Oxford, MS 38655 - Phone
- (662) 915-1437
- Fax
- (662) 915-7039
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | D0537 | MS | |
| Registered Dietitian | 133V00000X | D0537 | MS | Primary |
Addresses
Primary practice location
108 Sorority Row
Oxford, MS 38655
Mailing address
108 Sorority Row
Oxford, MS 38655
Phone (662) 915-1437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0537 | MS | MD | Sports Dietetics Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1356919138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 SORORITY ROW",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-915-1437",
"fax_number": "662-915-7039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 SORORITY ROW",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-915-1437",
"fax_number": "662-915-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLIANT",
"first_name": "MELINDA",
"middle_name": "WELLS",
"credential": "PHD, RDN, CSSD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "MS",
"license": "D0537",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D0537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.